This chapter gives an understanding of the essential tasks involved in setting up a good quality screening programme. Newborn hearing screening is used as a case study. There is an old saying that all you have to do to create an effective service is choose the right things to do, then do them right. Choosing the right screening involves assessing the evidence and making policy. Doing screening right means setting up a well ordered programme when screening is worthwhile, ensuring that the service is always of high quality, dealing effectively with problems, and making sure that when harm is more likely than benefit then screening does not happen. The chapter focuses on matters that are essential if screening is to achieve public health improvement — irrespective of where, and in what type of health system, it is being delivered.
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